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1093444796
IAN THOMAS MADISON
BRYN MAWR, PA
NPI
1093444796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: PA OT021449)
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
Dr. IAN THOMAS MADISON DO
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010-3121
Phone number: 484-337-3000
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Mailing Address
Dr. IAN THOMAS MADISON DO
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010-3121
Phone number:
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